Search results for ‘Subject term:"older people"’ Sort:
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Sexuality and dementia: a review of research literature
- Author:
- HEATH Hazel
- Journal article citation:
- Journal of Dementia Care, 20(4), July 2012, pp.35-39.
- Publisher:
- Hawker
Sexuality remains an intrinsic part of being human throughout life and through health and illness. It helps contribute to a person’s identity. Helping people with dementia retain this is fundamental to person-centred care. This article reviews the research literature on sexuality issues for people affected by dementia and evidence to support practice for staff working with these individuals and their families. This review revealed expression of sexuality in care home environments to be particularly complex, and the importance of this research for people with dementia, families and staff is highlighted.
Person centred dementia care: problems and possibilities
- Author:
- ARGYLE Elaine
- Journal article citation:
- Working with Older People, 16(2), 2012, pp.69-77.
- Publisher:
- Emerald
The implementation and efficacy of person centred approaches in dementia care is difficult to measure and there are still huge variations in working practices. In order to address these issues the procedure of dementia care mapping has been developed, which aims to assess the wellbeing of people with dementia and other vulnerable groups through the observation of communal activities. This article assesses the implementation of a person centred approach with a group of care home residents. All were female, their ages ranged from 77 to 92. Findings suggest that while participants potentially experienced many benefits from person centred approaches and the social engagement and integration that derived from this, its efficacy and impact was undermined by contextual factors such as staff shortages. The author concluded that practice should transcend its focus on the promotion of individual wellbeing and address the wider group and social contexts which can facilitate or prevent its fulfilment.
The lived experience of older people using assistive technology
- Authors:
- MCCAIG Marie, et al
- Journal article citation:
- Working with Older People, 16(4), 2012, pp.170-174.
- Publisher:
- Emerald
The aim of this small-scale investigation was to gain an appreciation of the conceptions, feelings and beliefs about the use of assistive technology (AT) in older people. A Husserlian phenomenological approach was adopted because of its descriptive rather than interpretive philosophy. Six individuals, aged over 65 years living in the same supported housing accommodation in Scotland were interviewed. Six key themes emerged: being unsure; being old; being a bother; being on my own; being neighbourly and being independent. Reactions to assistive technology were highly individualised and salient. The authors believe that AT has the potential to significantly impact on care delivery but suggest that in order to humanise the technology it is necessary to understand the person who is using it. They stress the importance of making sure that users are sufficiently well informed to enable them to make informed joint decisions. Whenever possible carers and family members should be involved. It is suggested that the question is not about whether to install AT but how to do so in a manner that optimises the experience for all concerned. Clarity is needed in relation to resources, governance, roles and responsibilities to support an effective implementation process.
Helping people to prepare for and settle into a new home
- Author:
- GREEN Danielle
- Journal article citation:
- Nursing and Residential Care, 14(12), December 2012, pp.626-631.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
This article is based on the diploma course HSC 3034 ‘Support individuals to prepare for and settle in to new home environments’. It discusses the reasons why people move into a care home, how to support them during the move, and reviewing the success of the move. Older people may move into a care home for health, frailty, housing or family reasons. For many older people and their families the move to residential care can be distressing. It is essential for care workers to support the individual in an agreed and appropriate fashion with the move and ensure that it is made as pleasant and as beneficial as possible. Staff should assess and monitor a new resident to identify any individual concerns. They should support personal choices, such as encouraging and assisting new residents to arrange the room to their own taste, in order to help them settle in.
'In their own words': voices of African-Caribbean and Black Welsh men and women
- Authors:
- SALTUS Roiyah, FOLKES Liz
- Publisher:
- University of Glamorgan
- Publication year:
- 2012
- Pagination:
- 96
- Place of publication:
- Pontypridd
Explores older people’s experiences of care in order to bring conceptual and practical clarity to the concept of dignity, drawing on qualitative data from semi-structured interviews with African-Caribbean and Black Welsh service users. The report identifies and discusses four themes, including dignity as acknowledgement of older people’s worth and the virtue of age, mutual respect and reciprocity, social identity and racialisation, and the expectations of care. The study suggests that for the participants, social markers such as ethnicity and cultural identity shaped their understanding of what dignity means and also had an impact on how they felt they would be treated in care encounters. A key message is that attention to these elements is important, as is the need to develop an understanding of the possible impact such factors may have on enhancing or damaging a care experience. (Edited publisher abstract)
Moving beyond patient and client approaches: mobilizing ‘authentic partnerships’ in dementia care, support and services
- Authors:
- DUPUIS Sherry L., et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 11(4), July 2012, pp.427-452.
- Publisher:
- Sage
The notion of a client-centred or person-centred approach was first introduces in the 1940s. Over the past several decades, however, the true intent behind its original relational approach has been lost, settling instead on well-intended but often paternalistic approaches that place patients or clients at the centre of care, but rarely, if ever, actively involve them in decision-making. This is no more apparent than in the case of people living with Alzheimer's disease who, due to the stigma and misunderstanding surrounding dementia, are often assumed to lack the capacity to be involved in their own care and the care of others. Drawing on the experience of the authors, working directly with persons with dementia, family members and professionals, and systematic research on a number of mutual partnership initiatives, this paper present an alternative approach, one that views persons with dementia as equal partners in the context of dementia care, support and formal services.
Self-care, plesio-care, telecare and m-care: a new assisted living model
- Authors:
- DOUGHTY Kevin, GODFREY David, MULVIHILL Billy
- Journal article citation:
- Journal of Assistive Technologies, 6(4), 2012, pp.292-301.
- Publisher:
- Emerald
This paper critically reviews the motivations for introducing different connected healthcare to support Assisted Living in older and other vulnerable groups. The aim is to develop a new sustainable approach. The authors consider the assessment criteria currently being employed and the resulting costs and limitations in providing a person centred approach. The implications of introducing new technologies such as plesiocare and mCare (mobile care) are then debated. One of the most cost-effective applications of technology was found to be in the support of informal carers but the telecare equipment that they are offered may not be the most appropriate. The findings are limited by a lack of formal risk assessments that are person centred. The implications include the need for improved training in assessment processes and access to a wider inventory of technologies.
Personalising reablement: inserting the missing link
- Author:
- NEWTON Clive
- Journal article citation:
- Working with Older People, 16(3), 2012, pp.117-121.
- Publisher:
- Emerald
Home-based reablement has been shown to be both effective and cost-effective. This paper argues that reablement services would be even more effective if they were to identify and work towards goals that are important and meaningful to the individual by applying learning from personalisation and person-centred planning. It draws on the evidence from a large prospective longitudinal study carried out in 2008-2010 that demonstrates that the success of reablement varies considerable at the individual level. The paper finds that motivation is key to the success of reablement, and argues that person-centred approaches can ensure that motivation supports the achievement of outcomes. It concludes that reablement staff should be trained to identify personal goals with service users and use task-centred approaches to achieve them. Partnership with voluntary organisations can help to deliver improved outcomes.
Technological solutions potentially influencing the future of long-term care
- Author:
- MORI Angelo Rossi
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 68p.
- Place of publication:
- Brussels
Work Package 4 of the ANCIEN (Assessing Needs of Care in European Nations) project seeks to forecast the potential direct and indirect influences of various kinds of technologies on long-term care (LTC), and in particular on the roles of care recipients and formal and informal carers. This paper contributes to this project by working out a technology-driven forecast of the changes on the LTC activities potentially induced by future technological deployments. It argues that information and communication technologies (ICT) together with the use of home devices and aids may greatly influence the rise of new models of care. Future technological deployments will induce changes in the respective roles of the care recipient and of the formal and informal carers, with an impact on 3 major concerns: the transformation of the care recipient into a proactive subject; the augmented potentiality for home care; and the new functions that informal carers could assume. The greatest impact on the LTC system will not be due to the spontaneous and fragmented diffusion of aids among individual consumers, but rather by large-scale organisational changes of the entire welfare system, supported by the use of enabling technologies.
Communication and cognitive impairment
- Author:
- GREEN Danielle
- Journal article citation:
- Nursing and Residential Care, 14(9), September 2012, pp.446-449.
- Publisher:
- MA Healthcare Ltd.
- Place of publication:
- London
This competence-based unit assesses the health and social care worker's ability to support and enable individuals with dementia to communicate and interact with others. Communication is an essential part of our lives, but those suffering from a cognitive impairment such as dementia may lose control of their communicative abilities and require the support and encouragement of their care providers to communicate successfully. This article suggests that one size does not fit all, and communication must be person-centred and tailored to the individual needs, desires, preferences and choice of each person.